Title Page

  • Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall form part of the CDM Health and Safety file.

  • Sensible Monitoring Audit Completed By:

  • Site Manager:

  • Contract Number:

  • Project Title:

  • Conducted on

Housekeeping

  • Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.

  • 1) Are accesses and egresses to and from the workplace kept clear and clean at all times?

  • Comments:

  • Attach any images relevant to question 1 here.

  • 2) Are there any tripping / slipping hazards?

  • Comments:

  • Attach any images relevant to question 2 here.

  • 3) Are drains blocked or poor drainage (soft ground heavy under foot)?

  • Comments:

  • Attach any images relevant to question 3 here.

  • 4) Are walkways level with no potholes or ruts and with good visibility?

  • Comments:

  • Attach any images relevant to question 4 here.

  • 5) Are there sufficient skips, bins located at the main work areas?

  • Comments:

  • Attach any images relevant to question 5 here.

  • 6) Is material stored and stacked neatly and not causing obstructions / hazards?

  • Comments:

  • Attach any images relevant to question 6 here.

  • 7) Do managers ensure that the work sites are cleaned and tidied if they are find the site in a poor condition when walking / moving around the site checking on progress?

  • Comments:

  • Attach any images relevant to question 7 here.

  • 8) Are the stores, workshops, canteens and offices inspected and cleaned on a regular basis?

  • Comments:

  • Attach any images relevant to question 8 here.

  • 9) Is the inside and outside of vehicles / plant inspected to ensure that they are maintained in a clean and tidy condition?

  • Comments:

  • Attach any images relevant to question 9 here.

  • 10) Is adequate signage displayed informing drivers and pedestrians where to go?

  • Comments:

  • Attach any images relevant to question 10 here.

Welfare

  • 1) Have suitable and sufficient numbers of toilets been provided and are they kept clean?

  • Comments:

  • Attach any images relevant to question 1 here.

  • 2) Are there clean washbasins, warm water, soap and towels?<br>a) if not have provisions been made to allow employees to clean their hands prior to eating?

  • Comments:

  • Attach any images relevant to question 2 here.

  • 3) Is suitable clothing provided for those who have to work in wet, dirty or otherwise adverse conditions?

  • Comments:

  • Attach any images relevant to question 3 here.

  • 4) Are there facilities for changing, drying and storing clothes?

  • Comments:

  • Attach any images relevant to question 4 here.

  • 5) Is fresh, clean and wholesome drinking water provided and available?

  • Comments:

  • Attach any images relevant to question 5 here.

  • 6) Is there a site hut or other accommodation where workers can sit, make a hot drink and store and prepare food?

  • Comments:

  • Attach any images relevant to question 6 here.

  • 7) What are the arrangements for the cleaning of the welfare facilities and the removal of rubbish?

  • Comments:

  • Attach any images relevant to question 7 here.

  • 8) Are those responsible for the preparation of food for others in possession of a Basic Food Hygiene Certificate?

  • Comments:

  • Attach any images relevant to question 8 here.

  • 9) Have all electrical items undergone Portable Appliance Testings and are they in good condition?

  • Comments:

  • Attach any images relevant to question 9 here.

  • 10) Is there adequate first aid provision including transient sites?<br>a) Is there an adequately stocked first aid kit available?

  • Comments:

  • Attach any images relevant to question 10 here.

  • 11) Are welfare facilities easily and safely accessible to all that need to use them?

  • Comments:

  • Attach any images relevant to question 11 here.

  • 12) Are the welfare facilities maintained and kept in a clean and tidy condition?

  • Comments:

  • Attach any images relevant to question 12 here.

  • 13) Is there a smoking policy and is the policy enforced?

  • Comments:

  • Attach any images relevant to question 13 here.

  • 14) On site, how far do employees have to travel to the nearest welfare facilities?

  • Comments:

  • Attach any images relevant to question 14 here.

Personal Protective Equipment

  • 1) Has adequate personal protective equipment, e.g. hard hats, safety boots, gloves, eye protection and respiratory equipment been provided in accordance with the Safety Line Policy?

  • Comments:

  • Attach any images relevant to question 1 here.

  • 2) Are adequate supplies of PPE held in stores, including any special items that may be required in an emergency, or which will form part of a requirement of a COSHH assessment?<br>

  • Comments:

  • Attach any images relevant to question 2 here.

  • 3) Is head protection being worn?

  • Comments:

  • Attach any images relevant to question 3 here.

  • 4) Is light eye protection being worn?

  • Comments:

  • Attach any images relevant to question 4 here.

  • 5) Is hearing protection being worn?

  • Comments:

  • Attach any images relevant to question 5 here.

  • 6) Are overalls or coveralls being worn?

  • Comments:

  • Attach any images relevant to question 6 here.

  • 7) Is respiratory protection being used?

  • Comments:

  • Attach any images relevant to question 7 here.

  • 8) Are high visibility jackets being worn?

  • Comments:

  • Attach any images relevant to question 8 here.

  • 9) Are gloves being worn?

  • Comments:

  • Attach any images relevant to question 9 here.

  • 10) Are safety boots being worn?

  • Comments:

  • Attach any images relevant to question 10 here.

  • 11) Has the above PPE risk been risked out?<br>a) if Yes please provide the following:<br>- Evidence - Risk Assessment Number<br>- Other<br>- Name of competent person<br>- Designation

  • Comments:

  • Attach any images relevant to question 11 here.

  • 12) Is the equipment in good condition and worn by all who need it, e.g. no hard hats painted or holes drilled into them?

  • Comments:

  • Attach any images relevant to question 12 here.

  • 13) Are PPE signs posted in areas where a special requirement is needed?

  • Comments:

  • Attach any images relevant to question 13 here.

  • 14) Is there a system in place to change worn out or damaged PPE etc.?

  • Comments:

  • Attach any images relevant to question 14 here.

  • 15) Are employees aware that helmets have a life-span and will require changing periodically?

  • Comments:

  • Attach any images relevant to question 15 here.

  • 16) Is appropriate storage for PPE available?

  • Comments:

  • Attach any images relevant to question 16 here.

Sign Off Audit

  • Print Name:

  • Signature:

  • Project Manager Name:

  • Signature:

  • Designation:

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.